| NPI | 1093413775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 104100000X Social Worker |
| 171W00000X Contractor | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-02 |